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Table 1 Structured assessment process to complete the Confusion Assessment Method

From: Use of the confusion assessment method in multicentre delirium trials: training and standardisation

CAM Item

Source of information

1. Acute onset and fluctuating course

• Ward staff or relative/carer who knows the patient’s baseline mental status and has observed the patient over time. Inspection of the medical and nursing records.

• Previous assessments

2. Inattention

• Informal general conversation

• Formal cognitive testing: abbreviated mental test [10]); Months of the Year Backwards test [11]

3. Disorganised thinking

• Informal general conversation

• Observations during completion of the abbreviated mental test score [10] and Months of the Year Backwards test [11]

4. Altered level of consciousness

• Information from ward staff

• Informal general conversation

• Bedside observation

  1. The CAM can be accessed at: www.HospitalElderLifeProgram.org [12]
  2. CAM confusion assessment method